We report the case of a 23-year-old male, natural and resident of height, with hyperpigmentation. Asthenia, fatigue, nausea, vomiting, weight loss, abdominal pain, hiporexia and hypotension, with decreased cortisol dosage and elevated ACTH.  Normal chest X-Ray, smear in sputum and negative urine. Negative TB-LAM Antigen. In contrasted abdomen computed tomography, an increase in dimensions and small calcifications is shown in both adrenals suggestive of specific type granulomatous infiltration. In endemic areas of tuberculosis as in Peru, in the absence of the adrenal biopsy, it can be used early, as a diagnostic alternative to the tomography to rule out the adrenal commitment.  In conclusion, this report described as the tomography can be used as an alternative diagnostic method in hospitals where it is not feasible to perform the biopsy in a rapid manner.

We report the case of a 23-year-old male, natural and resident of height, with hyperpigmentation. Asthenia, fatigue, nausea, vomiting, weight loss, abdominal pain, hiporexia and hypotension, with decreased cortisol dosage and elevated ACTH.  Normal chest X-Ray, smear in sputum and negative urine. Negative TB-LAM Antigen. In contrasted abdomen computed tomography, an increase in dimensions and small calcifications is shown in both adrenals suggestive of specific type granulomatous infiltration. In endemic areas of tuberculosis as in Peru, in the absence of the adrenal biopsy, it can be used early, as a diagnostic alternative to the tomography to rule out the adrenal commitment.  In conclusion, this report described as the tomography can be used as an alternative diagnostic method in hospitals where it is not feasible to perform the biopsy in a rapid manner.

Analiza si existe relación entre la vaginosis bacteriana y la infección puerperal, para lo cual se hizo el diagnóstico de vaginosis bacteriana en las gestantes a término mediante el estudio de las secreciones cérvico-vaginales utilizando la técnica de Papanicolaou y se clasificó el tipo de bacteria con la tinción de Gram. Luego se hizo el seguimiento durante diez días de las gestantes que finalizaron su embarazo en parto eutócico para determinar la presencia de infección PuexPeral. Esta investigación se realizó en los servicios de Gíneco-obstetricia y de Patología clínica y anatomía patológica de la clínica Alberto Sabogal Sologuren del Callao en un período de dos meses, iniciándose el veinte de agosto de 1997 y finalizando al veinte de octubre de 1997. De un total de 194 gestantes a término, ingresaron al estudio 37 gestantes. La frecuencia de vaginosis bacteriana ...

Introduction: Acute pancreatitis (AP) may have particular characteristics at high altitude that can affect its severity.Objetive: To describe the clinical and epidemiological characteristics of AP in residents at high altitude.Methods: Observational and descriptive study conducted in a hospital at 3,250 meters above sea level (masl) in Huancayo, Peru. A total of 129 patients with AP between 2017 and 2021 were included. Clinical, demographic, and management characteristics were analyzed. Data were collected at admission and followed until hospital discharge. Statistical analysis was performed using SPSS version 32, describing qualitative variables with frequencies/percentages and quantitative variables with mean/standard deviation or median/interquartile ranges according to the distribution.Results: The mean age was 45.8 years; 61.2% were women. The mean BMI was 26.1 kg/m², and the h...